Accent Modification & Clarity – Communicate Confidently Without Losing Your Identity

Accent Modification & Clarity – Communicate Confidently Without Losing Your Identity

Accents are a beautiful reflection of identity, culture, and lived experience. They tell the story of where we come from and the languages that have shaped us. At our practice, we celebrate this diversity — having an accent is not a problem to be "fixed." In fact, it’s a strength that can enrich workplaces and communities.

However, many clients share that their accents sometimes make it harder for others to understand them clearly. In professional settings, this can unfortunately limit progression, create communication barriers, and lead to frustration. While we believe accent should never determine opportunity, the reality is that clarity in speech sometimes influences career growth. That’s where accent modification, accent softening, or elocution training can help.

What is accent modification, softening, or elocution?

Accent modification — also known as accent softening, accent reduction, accent coaching, or in the UK, elocution — is about improving clarity and confidence in spoken English. It’s not about losing your identity or erasing your accent. Instead, it helps you adjust pronunciation, rhythm, and intonation so others can understand you more easily.

For some, this means softening a strong regional UK accent. For others — especially international clients — it’s about speaking English more clearly for work, study, or social settings. Some also choose to work towards a more neutral British accent (such as RP), but most simply want to sound clear and confident without losing who they are.

Do I need accent softening or elocution training?

Not everyone does. Many people are perfectly happy with their natural accent. But you might benefit if:

• People often ask you to repeat yourself.

• Your accent sometimes creates barriers in professional or social settings.

• You want to sound clearer in meetings, interviews, or presentations.

• You’d like to feel more confident speaking English, whether in the UK or internationally.

Will I lose my accent completely?

No — unless that’s your personal goal. Most clients simply soften their accent, so they can keep their identity while sounding clearer in professional or international situations. Some also choose to learn how to switch between accents depending on context.

How long does it take to soften an accent or complete elocution training?

It varies depending on your goals and how much you practise. Some clients notice improvement after only a few sessions, while others prefer ongoing support over several months to build confidence and lasting change.

Our UK based Private Speech Therapists are Clinical Specialists with a minimum of 15 years experience. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Coaching.

Why Is My Singing Voice Hoarse? – Private Voice Therapy and Vocal Coaching for Singers

Why Is My Singing Voice Hoarse? – Private Voice Therapy and Vocal Coaching for Singers

If you’re a singer, nothing is more frustrating than your voice not working the way it should. Maybe your high notes feel unreachable, your voice sounds hoarse, or singing is physically uncomfortable. Even small changes can be stressful, affect your performances, and have a real impact on your singing—whether it’s your career or your hobby.

Many singers experience vocal strain, vocal nodules, or muscle tension dysphonia (MTD), and often struggle because they’ve never been taught the techniques to sing safely, maintain vocal health, and prevent damage to their voice.

Our private voice therapy and vocal coaching for singers helps you recover your voice, improve technique, and sing with confidence—with no waiting list.

Why is my singing voice hoarse?

Hoarseness can develop from vocal nodules, muscle tension dysphonia (MTD), or other voice-related conditions. Many singers experience challenges with both their speaking and singing voices, often due to overuse, demanding schedules, or insufficient vocal technique. Seeking help early is essential to prevent long-term damage. We recommend asking your GP for a referral to an ENT specialist for assessment. In the meantime, we are able to support singers while they await their appointment, helping them care for and protect their voices. The waiting lists for NHS voice therapy can be months so its best to start voice therapy as soon as possible to get you on the road to recovery.

Why have I lost my high notes?

When the voice is affected by Muscle Tension Dysphonia (MTD) or Vocal Nodules, the fine adjustments needed for higher pitches become much harder.

• With Muscle Tension Dysphonia (MTD), excessive muscle tension around the larynx makes the vocal folds stiff and less flexible. High notes require the folds to stretch, thin, and vibrate quickly, but tension prevents this movement, so the upper range often feels strained, tight, or unreachable.

• With vocal nodules, small swellings develop on the vocal folds from repeated strain or overuse. These prevent the folds from closing and vibrating cleanly, especially on delicate high notes, which may come out breathy, weak, or disappear entirely.

Because high notes rely on precise and efficient vocal fold movement, they are often the first part of the range to be affected when there’s a problem. The good news is that with the right voice therapy and targeted singing exercises, it’s possible to reduce strain, protect your voice, and gradually regain your full upper range.

Why does singing feel painful or tight?

Singing can feel painful or tight when the voice is affected by muscle tension dysphonia (MTD) or vocal nodules. cause excess tension around the larynx makes the vocal folds stiff and less flexible, so producing notes — especially higher ones — requires more effort and can feel uncomfortable. Nodules, small swellings on the vocal folds, interfere with smooth vibration and closure, often causing strain, fatigue, or a tight sensation in the voice.

Straining the voice without professional guidance can make these issues worse, which is why expert therapy is so important.

Through therapy, underlying tension is released, breath support and technique are improved, and vocal stamina is gradually rebuilt. This approach helps singers restore comfort, ease, and confidence in both speaking and singing. With consistent practice and skilled guidance, most singers are able to sing without pain and regain control over their full vocal range.

Can overuse or demanding schedules damage my voice?

Yes. Long rehearsals, consecutive performances, and teaching or recording can strain your voice. Repeated strain makes it harder to sing high notes, maintain stamina, or speak comfortably.

Our private voice therapy and vocal coaching addresses overuse with:

• Safe vocal techniques

• Vocal stamina training

• Recovery strategies between performances

This helps you maintain a strong, resilient voice, even under demanding schedules.

Can a vocal coach help with a damaged voice?

Absolutely. Our private voice therapy and vocal coaching for singing combines clinical expertise with practical singing guidance to address:

• Technique – ensuring healthy, efficient vocal production

• Muscle tension – releasing strain that can limit range or cause discomfort

• Stamina – building endurance for both speaking and singing

• Performance demands – preparing the voice for real-world singing and speaking situations

We begin with targeted voice therapy for the spoken voice to stabilize and protect it, then gradually progress into singing exercises. This structured approach helps singers recover, strengthen, and safely expand their voice while reducing the risk of further damage.

What does voice therapy involve?

Voice therapy depends on your diagnosis and individual needs. Our UK-based specialist speech and language therapists offer personalised techniques to improve voice quality, stamina, and overall vocal health.

This may include:

• Improving voice projection and resonance

• Vocal hygiene and reducing harmful vocal behaviours

• Releasing muscle tension through relaxation and semi-occluded vocal tract exercises

• Increasing vocal stamina to prevent fatigue

• Managing reflux (LPR) affecting vocal health

• Structured exercises to strengthen and balance your voice

Our private voice therapists are highly qualified and accredited in a range of specialist techniques, including:

• Voicecraft®

• Estill Voice Training®

• Myofascial Release manual therapy

• PhoRTE®

• Advanced Laryngeal Manipulation

Therapy is tailored to help you sing and speak with confidence, comfort, and endurance.

Can I have voice therapy with the NHS?

Yes. An ENT consultant may refer you to a NHS Voice Therapist, but waiting lists can be long. Many singers choose private therapy to start sooner due to work, performance, or income pressures.

Do you have a waiting list?

No. We have no waiting list and can usually book you in within one week of your consultation, so you can start without delay.

Why should I choose The Speech Network for voice therapy and vocal coaching?

• Expert Voice therapist with stage experience: Our voice therapist is a trained singer who performed for 10 years in the West End, providing insight that bridges therapy and performance.

• Vocal coaching expertise: Our coach has 17 years of experience with professional and amateur singers, including teaching at prestigious acting schools.

• Stepwise, performance-focused approach: We begin with speaking voice rehabilitation, then carefully progress into singing exercises to build stamina, range, and control.

• Immediate access: No waiting list—therapy can start quickly.

This combination ensures singers recover, maintain, and enhance their speaking and singing voice safely and effectively.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy.

Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Private Voice Therapy.

Transgender Singing Lessons: Find Your Authentic Voice

For many transgender individuals, the voice is a vital part of identity and self-expression. Singing is a joyful way to explore your voice, build confidence, and connect with your authentic self.

Whether you are just starting to explore singing, are an experienced singer eager to sing in your new voice, or already feel confident in your speaking voice but want guidance for singing, our approach helps you develop a healthy, authentic, and confident singing voice while protecting your vocal health.

Our expert online voice therapists and vocal singing coaches, work collaboratively with transgender clients worldwide (except USA, Canada, and the Caribbean), helping you safely develop both your speaking and singing voice.

What do transgender singing lessons involve?

Our lessons follow a three-step, personalized approach to help you develop a confident and authentic singing voice:

Step 1: Voice Feminisation Training (12 sessions)

• With our expert voice therapist, you’ll work on pitch, resonance, intonation, rate and volume

• Builds a strong foundation for both speaking and singing

Step 2: Bespoke Collaborative Expert Singing & Voice Session (1 session)

• A bespoke, collaborative session with our expert voice therapist and singing coach

• Uses the same methods, terminology, and bespoke learning styles from your voice training sessions with our voice therapists.

• Supports the natural transition of your trained speaking voice into singing

Step 3: Ongoing Singing Coaching (4-6 sessions)

• Continued sessions with our singing coach to refine technique and build performance skills

• Focuses on vocal stamina, repertoire, expression, and integrating your authentic voice

• Personalized progression at your own pace, ensuring long-term vocal health

• You are welcome to continue singing lessons beyond this period as many people enjoy the sessions.

This approach is suitable for:

• New singers exploring both speaking and singing in their authentic voice

• Experienced singers transferring pre-transition skills into their post-transition voice

• Clients confident in their speaking voice who want guidance to sing safely and confidently

How do I learn to sing in my new voice after transitioning?

Learning to sing in your new voice takes expert guidance, practice, and a healthy approach. We help you:

• Build on the techniques from your voice training to safely sing in your authentic voice

• Gain a clear understanding of how to access and work with thin vocal folds.

• Receive targeted exercises to develop their middle voice (Mix Voice) and explore ways to extend their upper head register.

• Learn practical techniques for breath control and posture alignment to support healthy vocal production.

• Begin working towards a personalised warm-up routine designed to lighten and feminise the voice over the coming weeks.

• Use singing exercises to refine and enrich your vocal tone.

Our bespoke, collaborative approach combines the expertise of a voice therapist and our vocal coach, so your singing voice grows naturally from your trained speaking voice.

How many sessions will it take to learn to sing in my new voice?

It will take around 4-6 sessions following the joint collaborative session.

Can I take singing lessons if I’m confident in my speaking voice?

Yes! Many clients already feel confident speaking but want expert guidance to sing safely and effectively. We tailor lessons to your experience, helping you refine your technique, build stamina, and expand your repertoire.

Can transgender singing lessons be done online?

Absolutely! All lessons are online, making it easy for clients internationally (except USA, Canada, and the Caribbean) to work with our team.

How do I get started with transgender singing lessons?

You can book a free 15-minute consultation or email us at thespeechnetwork@hotmail.com to start exploring your authentic singing voice today.

Can stress and anxiety cause hoarseness? Understanding Muscle Tension Dysphonia (MTD).

Your voice feels hoarse, scratchy, or tired — not just once, but every day, especially in the evenings after a long day of teaching, talking, singing, or leading online meetings on Zoom. Maybe it happens even more when you’re feeling stressed or anxious. It can be frustrating, and it might make everyday conversations feel like hard work.

Chronic hoarseness is often a sign that your body is carrying tension, stress, or anxiety — and your voice is simply showing it. You’re not alone, and experiencing this is completely normal.

What is Muscle Tension Dysphonia (MTD)?

Muscle Tension Dysphonia (MTD) is a voice disorder caused by excessive tension in the muscles around the larynx (voice box), neck, jaw, and shoulders. It can make your voice feel strained, hoarse, or fatigued, and it often worsens with prolonged voice use (Mathieson & Morrison, 2018).

How does stress or anxiety cause Muscle Tension Dysphonia (MTD)?

Stress and anxiety can affect your voice in multiple ways:

• Muscle tension: Stress naturally tightens the muscles of the throat, neck, jaw, and larynx, making speaking or singing harder and uncomfortable — a hallmark of MTD (Behrman & Epstein, 2001).

• Breathing changes: Anxiety often causes shallow, upper-chest breathing, raising your shoulders and taking in less air. Over time, this reinforces tension in the throat and neck, contributing to Muscle Tension Dysphonia (MTD) (Verdolini et al., 1994).

• Vocal fatigue: Chronic stress can make your voice tire more quickly. Even short periods of talking may leave you hoarse, and prolonged use worsens Muscle Tension Dysphonia (MTD) symptoms (Roy et al., 2004).

• Work-related stress: When Muscle Tension Dysphonia (MTD) affects your voice, it can become unreliable, which is stressful at work. You may worry about straining your voice, performing well, or the financial impact of time off, especially when using your voice heavily for teaching, meetings, or online calls.

• Emotional signaling: Hoarseness or tightness often reflects the stress or emotions you’re carrying. Your body is signaling it’s overloaded and needs help (Behrman & Epstein, 2001).

How is Muscle Tension Dysphonia (MTD) diagnosed?

Muscle Tension Dysphonia (MTD) is usually diagnosed by a voice specialist or ENT (Ear, Nose, and Throat doctor). During an examination, an ENT may use laryngoscopy or endoscopy to look at your vocal folds. In most cases of MTD, the vocal folds appear normal structurally, even though you experience hoarseness, strain, or vocal fatigue. This is why MTD is often described as a functional voice disorder, meaning the problem is in how the voice is being used, not in the anatomy itself (Mathieson & Morrison, 2018).

What are the symptoms of Muscle Tension Dysphonia (MTD)?

The most common symptoms of muscle tension dysphonia include:

• Voice that sounds hoarse or strained

• Voice becomes weaker and more effort the longer your voice is used.

• Difficulty singing notes that used to be easy.

• Pain or tension in your throat 

• Feeling like there is something in your throat that needs to be cleared. 

How common is Muscle Tension Dysphonia (MTD)?

Muscle Tension Dysphonia (MTD) is surprisingly common, especially among people who use their voices a lot:

• Teachers: About 1 in 5 report work-related voice problems (Roy et al., 2004).

• Singers: Around 46% notice dysphonia at some point (Roy et al., 2005).

• Other professional voice users: Actors, broadcasters, and public speakers — nearly 4 in 10 experience similar issues (Roy et al., 2004).

In voice clinics, Muscle Tension Dysphonia (MTD) is one of the most frequently diagnosed voice disorders. Many patients seeking help for chronic hoarseness, strain, or vocal fatigue are found to have Muscle Tension Dysphonia (MTD) as a primary or contributing factor (Mathieson & Morrison, 2018).

Can Muscle Tension Dysphonia (MTD) be treated?

Yes! Voice therapy is the treatment for muscle tension dysphonia.

• Release tension in the larynx, neck, jaw, and shoulders

• Improve breath support and posture

• Teach strategies to manage stress and prevent vocal strain

• Make your voice more reliable and comfortable for work, teaching, or online meetings (Mathieson & Morrison, 2018)

Do you have a waiting list?

No- most people are seen within one week on the free consultation.

How long does Muscle Tension Dysphonia (MTD) last?

Muscle Tension Dysphonia if untreated can last for months or years for some people. This is because they may be in a high voice use occupation such as a teacher, manager or call center and continue to abuse their voices without treatment. The treatment for Muscle Tension Dysphonia is Voice therapy. Typically people require 6-8 sessions following an assessment.

Why choose The Speech Network for Voice Therapy?

Our UK-based private voice therapists are all Clinical Specialists in Voice, each with a minimum of 15 years’ experience. They currently work, or have previously worked, as Senior Voice Therapists within the NHS.

All our therapists are fully registered and accredited, including:

• Health and Care Professionals Council (HCPC)

• Royal College of Speech and Language Therapists (RCSLT)

• Association of Speech and Language Therapists in Independent Practice (ASLTIP)

Our private voice therapy team is highly rated, with outstanding 5-star Google reviews and recognition as a 2024 Quality Business Award winner.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

References

• Behrman, A., & Epstein, R. (2001). Effects of stress and anxiety on voice production. Journal of Voice, 15(2), 214–228.

• Mathieson, L., & Morrison, M. (2018). Muscle Tension Dysphonia: Assessment and Management. Current Opinion in Otolaryngology & Head and Neck Surgery, 26(6), 441–447.

• Roy, N., Merrill, R. M., Gray, S. D., & Smith, E. M. (2004). Voice disorders in teachers and the general population: Effects on work performance, attendance, and future career choices. Journal of Speech, Language, and Hearing Research, 47(3), 542–551.

• Roy, N., et al. (2005). Prevalence of voice disorders among singers: A literature review. Journal of Voice, 19(3), 478–493.

• Verdolini, K., Titze, I. R., & Fennell, A. (1994). Dependence of phonatory effort on respiratory drive. Journal of Speech and Hearing Research, 37(4), 749–756.

Online Private Speech Therapy for Brain injury : UK

Recovering from a brain injury can be challenging, with changes not only in physical ability but also in communication and thinking skills. Online speech therapy in the UK plays a key role in rehabilitation, helping people rebuild confidence and independence.

Why choose The Speech Network for Speech Therapy after a Brain Injury?

Our UK based Speech Therapists are registered with:

• The Health and Care Professions Council (HCPC)

• The Royal College of Speech and Language Therapists (RCSLT)

• The Association of Speech and Language Therapists in Independent Practice (ASLTIP)

With outstanding ***** 5-star Google reviews and a recent 2024 Quality Business Award, our team offers trusted, high-quality care.

How can communication be affected after a brain injury?

A brain injury can affect communication in several ways, depending on the area and severity of the damage. Common challenges include:

1. Aphasia – Difficulty with language, which can affect speaking, understanding, reading, and writing. People with aphasia may struggle to find the right words, form sentences, or comprehend complex information.

2. Dysarthria – Slurred or unclear speech caused by weakened or uncoordinated muscles used in speaking. This can make it hard for others to understand what the person is saying, even if their language skills are intact.

3. Cognitive Communication Disorders – Changes in thinking skills that affect communication, such as attention, memory, reasoning, or social communication. People may find it difficult to follow conversations, stay on topic, interpret body language, or make decisions during communication.

These communication difficulties can significantly impact everyday life, including social interactions, work, and relationships. Early assessment and personalised online speech therapy in the UK can help improve communication, rebuild confidence, and support recovery after brain injury.

How does online speech therapy help after a brain injury?

Following thorough and comprehensive assessments, we develop personalised, patient-centred therapy programmes that are specifically tailored to you. Each plan is designed not only to address communication difficulties but also to support your broader goals for independence, confidence, and quality of life. By focusing on achievable, meaningful objectives, our therapy empowers you to rebuild skills, participate more fully in daily activities, and regain confidence in your communication and interactions.

Can I have speech therapy online after a Brain Injury?

Yes. Online speech therapy in the UK is well-suited to clients with brain injuries, offering flexible and accessible sessions. It allows therapy to continue regardless of location or mobility, while still providing personalised exercises and cognitive communication support. Families and carers can also be involved in the sessions to reinforce strategies at home.

How is private online speech therapy in the UK funded after a Brain Injury?

Private online speech therapy can often be funded through compensation claims if your brain injury was caused by an accident or medical negligence. Solicitors work to secure compensation, while case managers coordinate your rehabilitation plan to ensure therapy costs are covered. This means your therapy can continue without interruption, giving you consistent support your communication rehabilitation.

Can family members join the sessions to help me practice?

Yes. We actively encourage family participation in therapy sessions. Involving loved ones helps:

• Build confidence in supporting communication.

• Reinforce therapy strategies outside of sessions.

• Create a supportive environment for recovery.

We also integrate speech therapy apps and home practice programmes. These allow patients to receive more intensive therapy at reduced cost, while therapists can remotely track progress and adjust personalised therapy plans.

Do you have a waiting list?

No – our private online speech therapy in the UK service allows fast access to treatment without delays.

Our UK based Private Speech Therapists are Clinical Specialists in Brain Injury with a minimum of 15 years experience - book a free consultation or email: thespeechnetwork@hotmail.com for more information.

What are vocal fold polyps ?

What Are Vocal Fold Polyps?

Vocal fold polyps are soft, non-cancerous bumps that develop on the vocal cords. They usually appear on one vocal cord and can vary in size and shape. Polyps are larger than nodules and may affect the way your voice sounds.

What Causes Vocal Fold Polyps?

Polyps usually form because of vocal strain or overuse, such as:

• Yelling or cheering at sports events

• Teaching or speaking all day

• Singing without proper technique

Other contributing factors include:

• Smoking or environmental irritants – substances like tobacco smoke, fumes, or dust can irritate and inflame your vocal cords.

• Acid reflux (GERD) – when stomach acid travels up into the throat, it can irritate the vocal cords and make them more prone to polyps.

• Allergies – can cause swelling and inflammation in the throat.

How Can I Tell If I Have a Vocal Fold Polyp?

Look out for:

• Hoarseness or breathy voice

• Voice fatigue—getting tired after speaking or singing

• Difficulty reaching high or low notes

• Feeling like something is stuck in your throat

• Frequent throat clearing

• Sometimes neck or ear pain

How Are Vocal Fold Polyps Diagnosed in the UK?

Typically, if you are experiencing voice difficulties, your GP will refer you to an Ear, Nose and Throat Specialist (ENT) for an assessment of your voice. An ENT specialist may:

• Ask about your voice use and symptoms

• Use a laryngoscope, a small camera to view the vocal cords

• Perform stroboscopy, a test that shows how the vocal cords vibrate

• Occasionally, take a biopsy if the growth looks unusual

What Treatments Are Available for Vocal Fold Polyps in the UK?

Online voice therapy can effectively:

• Teach you safe ways to use your voice

• Reduce strain so the polyp can heal naturally

• Support recovery after surgery

• vocal hygiene

We offer online voice therapy for clients in the UK and internationally (except Canada and the Caribbean).

Other approaches may include:

• Lifestyle adjustments, like treating GERD, staying hydrated, avoiding smoking, alcohol, and caffeine

• Surgery if the polyp is large or persistent—but even then, voice therapy is essential for long-term recovery

Can Vocal Fold Polyps Heal Without Surgery?

Yes, many vocal fold polyps can improve with professional voice therapy. A study of 644 patients found that approximately 38% experienced complete resolution and 46% showed a clinically significant reduction in size after several months of conservative treatment, which included voice therapy and lifestyle adjustments. PubMed

This suggests that bespoke voice therapy, tailored to your unique vocal needs and lifestyle, can be an effective alternative to surgery, helping you recover your natural voice safely.

Can My Voice Fully Recover After Having a Vocal Fold Polyp?

Yes! Most people regain a normal voice with appropriate treatment. Early intervention with voice therapy leads to the best outcomes, and surgery combined with therapy also works very well.

How Can I Prevent Vocal Fold Polyps From Coming Back?

• Avoid shouting or speaking loudly for long periods

• Avoid irritants like tobacco smoke, fumes, or dust that can inflame the vocal cords

• Manage GERD by treating reflux and avoiding acid triggers such as spicy foods or caffeine

• Treat allergies that cause throat irritation.

Can I have Voice Therapy with the NHS?

The ENT consultant will often refer you to a NHS Voice Therapist. We see people who have seen an ENT consultant privately due to a long NHS wait, or those that are waiting for an NHS appointment but are keen to get started due to the impact on their income.

Do you have a waiting list?

No - we have no waiting list and we can typically book you in within one week of the initial consultation.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

How can a voice coach help my public speaking skills?

GUEST BLOG POST BY OUR VOICE COACH JULIE

Are you stepping into a leadership role involving presentations to managers and CEO’s?

Are you seeking promotion and awaiting an interview date?

Are you preparing a presentation for a wedding speech or similar?

All these events are good things – but part of you might not quite believe that!

Why do I feel nervous about public speaking?

You may have a memory of being in school and falling over your words as you were asked to read aloud in class.

You may remember a time when you were given really negative feedback after a presentation – but never told how to improve it.

You may recognise that you struggle to be heard when you speak publicly, or that you feel your speech can be a little monotone – with not much variety.

You may just know that your nerves will get the better of you – and that even the thought of speaking in public has your palms sweaty and your heart racing.

Here’s the thing!

It takes courage for anyone to speak in public. Even experienced speakers feel a little nervous.

But with the right voice coaching for public speaking, you can turn that nervous energy into confidence, clarity, and impact.

How can voice coaching help with nervousness or anxiety when speaking in public?

In a nutshell, here’s how public speaking coaching can help:

We can help you identify and then change whatever is getting in the way of you becoming a calm, competent and convincing speaker.

We can help you transform those nerves into focus and energy. 

We can help you to be more yourself – as relaxed and confident as you were before anyone mentioned the word interview – or presentation – or speech!

Can voice coaching help with mumbling? 

Mumbling may be due to having a quiet voice and not distinctly enough. It may be because you are not opening your mouth enough when you speak and not using enough muscular energy to produce words. It may be due to reduced breath support for speech. It can be due to not being confident in speaking situations. Sometimes we fall into bad habits in our teenage years that we find it difficult to change as adults. We can identify the factors that are affecting impacting on you, and improve your speech and confidence.

How can a voice coach improve my public speaking skills?

A voice coach for presentations can help you with:

• Articulation, pacing, and vocal projection.

• Using non-verbal communication, tone, and energy effectively.

• Learning to structure your presentations so they are engaging and easy to follow.

• Focusing on what your audience actually needs and how best to deliver your message.

• Preparing for speeches and presentations in a way that makes you feel confident, ready, and calm on the day.

Can a voice coach help me prepare for interviews ?

We regularly support people who are seeking a promotion and feel that the way in which they communicate is impacting on their next promotion. We can support you in building your confidence

We aim to provide all the practical advice you need in as time efficient, fun and supportive a way as possible. We want you to develop your skills and then put them into practise as soon as you can...you may even forget that you ever had an issue with speaking!

How long does it take to see results from voice coaching?

That depends upon the exact skills you need to learn but generally 3-4 sessions should go a long way to achieving your goals.

What are the benefits of combining voice coaching with speech therapy?

Sometimes you may need more than one skill developing - for example needing to improve the effectiveness and health of your voice alongside wanting to soften your accent or improve your  presentation skills. We can provide a 'one-stop shop' which can be beneficial - you don't have to seek help from two different people when you have already built up a working relationship with one. 

Our UK based Private Speech Therapists are Clinical Specialists with a minimum of 15 years experience. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Coaching.

Expert Stammering Therapy Near Me in the UK: Online Support for Adults and Children

Expert Stammering Therapy Near Me in the UK: Online Support for Adults and Children

If you’ve ever typed “stammering therapy near me UK” into Google, you’re not alone. Many adults who stammer, and parents of children who stammer, start their search this way. The natural thought is: “I need someone local.” But local services often do not have the specialist expertise needed to treat stammering effectively. The most effective help comes from an expert specialist therapist with unrivalled expertise, who has extensive experience and proven qualifications, regardless of location.

Why Choose Online Stammering Therapy with The Speech Network?

Alison, (MSc, BA(Hons), BRIEF Cert. SF Practice) our UK based Clinical Specialist Speech Therapist in Stuttering has 28 years’ experience of working in the field of Stuttering.  She has worked at the Michael Palin Centre in London (an International Centre of Excellence for the Treatment of Stuttering) and is one of the few Registered European Fluency Specialists in the UK.

Professional Memberships & Registrations

Alison is fully registered with leading professional organisations, including:

• Health and Care Professions Council (HCPC)

• Royal College of Speech and Language Therapists (RCSLT)

• The Association of Speech and Language Therapists in Independent Practice (ASLTIP)

She has outstanding 5 star ***** Google reviews.

Online stammering therapy brings personalised, evidence-based therapy directly into your home, wherever you live in the UK. We also offer therapy internationally (excluding clients in the USA, Canada, or the Caribbean).

Local clinics may not have the specialist expertise needed for effective stammering therapy, and often have long waiting times or limited availability.

We do not have a waiting list, and sessions are typically booked within one week of the consultation.

Why Online Stammering Therapy Works So Well with The Speech Network

1. UK-wide and international access
   Whether you live in London, Manchester, Birmingham, a small village in Cornwall, or internationally (excluding USA, Canada, and the Caribbean), you can access expert therapy from the comfort and privacy of your own home.

2. Expert specialist therapist with unrivalled expertise
   Over 25 years of experience specifically in stammering, advanced qualifications and clinical expertise ensure professional, evidence-based therapy tailored precisely to your needs.

3. Convenience and comfort
   No commuting, travel costs, or parking stress. Therapy can be accessed in the privacy and comfort of your own home rather than having to attend a busy waiting room in a clinic.

What to Expect in Speech Therapy for Stuttering

Our goal is to create a safe space where you feel comfortable to stutter and share your thoughts and feelings about it.

Therapy is personalised, as each individual’s needs are different. You and Alison will choose the most suitable approach based on your goals.

Typical Aims of Stuttering Therapy

• Identification: Understanding your stuttering and what influences it.

• Desensitisation: Addressing unhelpful emotions such as fear or embarrassment.

• Modification: Learning techniques to make speaking easier.

• Stabilisation: Applying strategies confidently in the real world.

We use techniques from Cognitive Behavioural Therapy, Solution Focused Brief Therapy, and Acceptance and Commitment Therapy to help you manage thoughts, feelings, and beliefs about stammering.

How much does it cost for Private online Stammering Therapy for adults?

The cost of private online voice therapy with our specialist speech and language therapists is as follows:

• Comprehensive 2 hour Initial Assessment: £180 * [please note the duration of the session is reflected in the cost]

• Follow-up Therapy Sessions: £90 per session

The number of sessions required depends on your individual diagnosis and goals, but most clients benefit from 6-8 sessions.

Our UK based Private Speech Therapists are Clinical Specialists in Stammering with a minimum of 25 years experience Specialising in Stammer Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Stammer Therapy.

What is Spasmodic Dysphonia?

What is Spasmodic Dysphonia?

Spasmodic Dysphonia (also known as Laryngeal Dystonia) is a voice disorder that causes interruptions to to voice (known as voice breaks) and a strained voice quality due to the muscles in the vocal folds go into spasm.

What causes Spasmodic Dysphonia?

The causes is unknown but it is considered to be a Neurological condition involving a part of the brain called the basal ganglia. The basal ganglia helps co-ordinate muscles throughout the body. There may be a family history of Spasmodic Dysphonia. Triggers may include an upper respiratory chest infection, injury to the larynx or psychological stress.

How is Spasmodic Dysphonia diagnosed in the UK?

Spasmodic Dysphonia is diagnosed by a referral via your GP to Ear, Nose and Throat (ENT). ENT will use a camera to look at your voice box. This is not a painful procedure and has very few risks. A Voice Therapist will also be involved in the assessment of your voice. It is sometimes misdiagnosed as Muscle Tension Dysphonia which is why assessment by a specialist voice therapist is advised to determine appropriate treatment.

What are the types of Spasmodic Dysphonia?

Adductor Spasmodic Dysphonia is the most common type with around 87% of people being affected. The sudden involuntary movements cause the vocal folds to come together and stiffen. The voice may sound strained, and words might be cut off because of the spasms. Stress can make the muscle spasms more severe.

Abductor Spasmodic Dysphonia : The spasms cause the vocal folds to remain open. The vocal folds cannot vibrate when they are open. The voice may sound weak or breathy.

Mixed Spasmodic Dysphonia: This is a very rare form of Spasmodic Dysphonia and is a combination of the two types listed above.

Who treats Spasmodic Dysphonia in the UK?

There is no cure for Spasmodic Dysphonia. Voice Therapy alongside botox injections to reduce voice strain. Botox reduces the muscle spasms by weakening the muscles. It improves the voice for 3-4 months and the voice symptoms are likely to return. Surgery may be considered but the evidence of effectiveness is limited.

Can Spasmodic Dysphonia be treated with the NHS in the UK?

ENT will typically refer to an NHS voice Therapist. However, the wait for NHS voice therapy in some areas can be substantial. Due to the impact Spasmodic Dysphonia can have on people, we see clients privately while they wait NHS therapy.

Can I have Online Voice Therapy for Spasmodic Dysphonia in the UK?

Online Voice therapy is shown to be as effective as face to face therapy. We are very experienced at providing online voice therapy in the UK and internationally.

Does Spasmodic Dysphonia ever go away?

Spasmodic Dysphonia does not go away but can be improved with treatment such as botox and Voice Therapy specificially for Spasmodic Dysphonia.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

How do I take care of my voice?

How do you protect your voice when speaking?

Some people think that they should whisper to protect their voice. However, when we whisper we squeeze out vocal folds together causing more strain. Avoid shouting as this can damage your vocal folds. Try to talk at a normal volume. Rest your voice if you are unwell with acute laryngitus, or if your voice is becoming hoarse.

Be aware of the effect that your work has on your voice. In a job that involves a lot of talking and raising your voice - such as teachers, singers, actors or broadcasters. Try to allow yourself to have frequent voice breaks. Our voice therapists can work with you to teach you voice techniques, such as projection, so that your voice does not fatigue.

If you have developed a hoarse voice or have had recent voice changes you would benefit from your GP referring you to an Ear, Nose and Throat (ENT) Specialist for an examination.

Be aware of hobbies that might cause you to lose your voice such as karaoke or yelling at sports matches. Keep this to a minimum to let your voice recover.

What is the best thing to drink for your voice?

Its important to keep the vocal folds hydrated. Drinking 2 litres of water a day will be adequate. Water thins out the mucous on your vocal folds, and helps them vibrate smoothly. Try to avoid caffeinated drinks such as tea or coffee as these dry out the vocal folds - try decaffenated tea or coffee instead. Cut down on alcohol or balance drinks out with drinking water. Some medications can such as those for colds or allergies. Discuss any changes with your doctor beforehand.

Can foods affect the voice?

Foods that are high in fats, salts or spice can cause laryngo-pharngeal reflux (LPR). These might be include curries, fried food or fast food. These foods can cause stomach acid to move into the throat or oesophagus, causing heartburn or reflux. If you do experience reflux, talk to your GP about possible medications. Try not to eat within two hours of going to bed at night. Watery foods that dilute stomach acid such as melon, celery or cucumber are helpful for reflux.

How does smoking affect your voice?

Smoking dehydrates and irritates the vocal folds, becoming dry and inflamed. They do not vibrate as they should. Smoking can also increase laryngo-pharyngeal reflux which can affect the voice. It lowers voice pitch and causes vocal fatigue. As smoking affects lung function, you may have reduced breath support for your voice, and feel like you are running out of breath when you talk.

There is a voice condition directly related to smoking called Reinke’s odema which causes a gravelly low-pitched voice. This is a result of the swelling of the vocal folds. Smoking can also increase your risks of vocal cord cancer. You should either stop smoking or cut down. Have a chat with your GP about advice to stop smoking.

Stop smoking. If you can’t give up, cut down. Smoking irritates and damages the vocal folds. Talk to your GP about advice to support stopping smoking.

Why do I feel like I need to clear my throat?

Throat clearing is very common when people have a voice disorder such as muscle tension dysphonia due to the tension they feel in their throat. Many people feel like they have mucous in their throat. There are many reasons, including reflux and post nasal drip that our voice therapists can support you in identifying these difficulties and providing yiou with strategies to reduce this habit. Try not to clear your throat unnecessarily. It can create excessive mucous and lead to a further need to clear your throat. Try drinking water instead or swallowing, or try steam inhalation.

In summary:

• Stop smoking (or cut down)

• Drink 2 litres of water a day

• Reduce caffine - try caffine free drinks

• Avoid spicy and greasy foods

• Do not whisper or shout

• Rest your voice if you are sick

• Avoid dry and dusty enviroment.

Our Speech and Language Therapists are Clinical Specialists in Voice. Feel free to book a free consultation or email us for more information regarding our reasonable fees.

Why Do I Lose My Voice So Often as a Teacher?

You're in the middle of a lesson. Your voice feels tight, raspy, and unreliable. By the end of the day, you're hoarse, exhausted, or even in pain.

If this sounds familiar, you’re not alone—and it may be more than just “overuse.” Many teachers experiencing these symptoms are unknowingly dealing with a voice condition called Muscle Tension Dysphonia (MTD). Voice rest is not enough - and you keep losing your voice frequently and its affecting your work.

Why do teachers lose their voice?

Teachers use their voices a lot. Voice loss tends to occur due to overuse or misuse of your voice. But it’s not just the hours of speaking—it’s how, where, and under what pressure. Classrooms are often noisy, acoustically challenging spaces. Add in stress, lack of voice training, and few breaks, and it’s no wonder that around 50–70% of teachers experience voice problems at some point.

Our UK Voice therapists will help you identify the causal factors and put together a bespoke plan to support you in improving your voice, and prevent voice loss.

When should I worry about losing my voice?

Prolonged voice loss and Voice changes should be investigated and you can request a referral to ENT via your GP. Voice loss can affect your job performance and may cause you to be sick or absent from work as you are unable to teach. Teachers may resign due to voice issues. Your voice is your an important tool and you may need to either have voice therapy to restore your voice or improve your vocal techniques.

How can voice therapy help?

The recommended treatment for frequent and ongoing voice loss is voice therapy. Typically in 4-6 sessions we can improve your voice. We can support you with preventative techniques so that you do not lose your voice, feel strain or discomfort - so you can confidently teach without worrying about your voice.

How can I stop losing my voice as a teacher?

Speak less - take regular breaks.

Use non-verbal techniques to gain attention rather than shouting

Use audio-visual aids where possible

Use amplification where possible

Vocal hygiene to look after your voice.

Can voice coaching help me stop losing my voice as a teacher?

Our therapists are both voice therapists and voice coaches - the perfect combination to improve your voice and provide you with preventative techniques for using your voice in the classroom.

We can also support you with finding your voice as a teacher - to free your voice and speech of habits that impact on your self confidence such as speaking too fast, mumbling, speaking too quietly or unclear pronunciation. Habits are hard to break but Voice & Speech Coaching UK can provide you with strategies to change the way you communicate to be your true self.

Can I have voice therapy with the NHS?

The referral from GP to ENT can be a quick process. Unfortunatly, the wait for NHS voice therapy may take months, which could impact on your work. Our voice therapists are able to see you while you wait for NHS therapy. Voice coaching is not available in the NHS - our Voice Coaches are unique as they are also Clinical Voice Specialists.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

Why have I had a hoarse voice for months?

If you have had a hoarse voice that continues for that lasts more than 3 weeks, it is recommended that you discuss this with your GP. A hoarse Voice can be caused by laryngitis but it also can be a symptom of laryngeal cancer. Therefore, your GP may refer you to an Ear, Nose and Throat doctor (ENT) who will use a camera up your nose to look at your vocal folds. This is not a painful procedure.

What can cause voice loss (also known as Dysphonia)?

Dysphonia is a change in your voice that might make it sound hoarse, breathy, strained, and weak. It may be very effortful to speak and you may experience complete loss of voice. Dysphonia may be caused by vocal fold palsy, nodules (or nodes), or Muscle Tension Dysphonia.

Why do ENT say my vocal folds look normal but I still have hoarseness?

The good news is that ENT did not find any damage to your vocal cords. However, many people are left wondering why they have a hoarse voice. Muscle Tension Dysphonia (MTD) produces vocal symptoms without any physical damage. Muscle Tension Dysphonia (MTD) is a change in the sound of your voice due to excessive muscle tension in and around the larynx (voice box). It is very common, particularly in professional voice users such as teachers or lawyers that use their voice throughout the day to communicate.

What are the symptoms of Muscle Tension Dysphonia (MTD)?

The most common symptoms of muscle tension dysphonia include:

• Voice that sounds hoarse or strained

• Voice becomes weaker and more effort the longer your voice is used.

• Difficulty singing notes that used to be easy.

• Pain or tension in your throat 

• Feeling like there is something in your throat that needs to be cleared. 

Why do I have a hoarse voice and a feeling of a lump in my throat?

The tightness of the muscles in your throat due to Muscle Tension Dysphonia (MTD) causes people to feel that they have a lump in their throat, tightness or tension. The medical word for this feeling is ‘Globus’ and it is very common. It can be caused by main factors including anxiety, stress and reflux. It can be very effortful you to speak when they feel tension. Through Voice therapy we examine the factors that are causing you to have this sensation and aim to reduce the tension in this area.

Why do I have a hoarse voice, mucus in my throat and feel like I need to throat clear or cough?

As a result of tension people feel in their throat due to Muscle Tension Dysphonia (MTD) or Globus, people feel that they need to throat clear. Throat clearing often results in a habit of frequently throat clearing which produces more mucous. Throat Clearing is multi-factorial and we aim to reduce throat clearing through a thorough case history and voice therapy strategies.

Is a hoarse voice a symptom of anxiety or stress?

A hoarse voice as a result of Muscle Tension Dysphonia (MTD) may be linked with stress or anxiety. We all feel stress in different parts of our body and some people of vulnerable to holding tension within their laryngeal area. Our Voice Therapists have counselling skills that can support you to understand the emotional causes of your voice problem. If a voice problem is affecting your work, this can be an additional financial stress. Through voice therapy we can support you to improve your voice through vocal techniques to help you feel more relaxed.

How long does Muscle Tension Dysphonia (MTD) last?

Muscle Tension Dysphonia if untreated can last for months or years for some people. This is because they may be in a high voice use occupation such as a teacher, manager or call center and continue to abuse their voices without treatment. The treatment for Muscle Tension Dysphonia is Voice therapy. Typically people require 6-8 sessions following an assessment.

Why do i have a hoarse voice at the end of the day?

You may be losing your voice towards the end of the day due to using your voice ineffectively throughout the day. Our voice therapists will analyse the ways in which you use your voice, change your vocal behaviours to reduce strain in the laryngeal area so that you will be able to sustain your voice throughout the day.

How do I have Muscle Tension Dysphonia treatment at home?

Online Voice Therapy is as effective as face to face. This means that you can have Muscle Tension Dysphonia treatment at home.

What does voice therapy for Muscle Tension Dysphonia involve?

Voice therapy involves

• Vocal hygiene advice

• Bespoke voice exercises 

• Exercises to reduce laryngeal tension

• Improving breath support for speech

• Reducing harmful behaviours

• Increase vocal stamina 

• Improving pitch and volume

• Improving voice amplification 

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

What are Vocal Fold Nodules?

What are vocal fold nodules?

Vocal fold nodules develop due to trauma of the vocal folds. When you use your voice incorrectly over time, the vocal folds might become swollen. These swollen areas then become nodules that are sometimes called ‘soft nodules’ but as they progress they can be called ‘hard nodules’ and be harder to treat. They usually form a pair – opposite each other on each vocal cord. Occasionally a diagnosis of a nodule on one vocal cord is made, with only some slight swelling on the opposite vocal cord.

What causes vocal fold nodules?

Vocal fold nodules are typically caused by voice misuse. This may include shouting, screaming, singing or excessive use of voice over long periods of time.

When we use our voice ineffectively and develop habits that use too much force with our voices, this puts strain on the vocal folds. Nodules are common whose work involves using their voice for long periods of time. Typical jobs might be singers, teachers or actors.  Due to the importance of communication in these jobs, a nodule affecting the voice can have a big impact on sustaining voice throughout the day. This can be very stressful when our voices are essential to our work and income.

What are the symptoms of vocal fold nodules?

You will notice voice changes such as a gradual onset of hoarseness, breathiness and an effortful voice with breaks.

When producing normal voice, the vocal folds meet fully together. When there is a nodule, this causes a gap between the vocal folds, resulting in air escape through this gap, and a subsequently breathy voice.

You may also have a lower pitch, experience throat discomfort and throat clearing. You may additionally feel some soreness in your larynx after using your voice for long periods.

How are vocal fold nodules diagnosed?

Typically an Ear, Nose and Throat Consultant puts a camera up your nose, called an endoscopy, to gain a view of your vocal folds. They will inform you of your diagnosis in this examination.

Can vocal fold nodules go away on their own?

In the acute stages, vocal nodules may resolve with voice rest alone. However, if it is due to repetitive vocal misuse, then Voice Therapy treatment will be required. Voice Therapy is first choice rather than surgery. If surgery is required, Voice Therapy following surgery to prevent reoccurrance is recommended. Online Voice Therapy for Voice is effective for treating nodules.

Can I have Voice Therapy with the NHS?

The ENT consultant will often refer you to a NHS Voice Therapist. We see people who have seen an ENT consultant privately due to a long NHS wait, or those that are waiting for an NHS appointment but are keen to get started due to the impact on their income.

How can I look after my voice?

Vocal hygiene is very important to look after your voice when you have vocal nodules.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

Can you fix a lisp when you an Adult?

Lisping is very common within adults, with varying levels of severity. Some adults who lisp are very self-conscious about it and it affects their self-esteem and confidence to speak, and impacts on their day to day life. They may place themselves under a great deal of pressure to avoid words involving /s/ and /z/ and may even avoid talking because of it. Many adults are keen to correct their speech in order to feel more confident when speaking both socially and in the workplace.

How to correct a lisp in adults?

Every adult is different, and the process of therapy varies from person to person. Whilst some clients only attend a couple of sessions with an experienced Speech Therapist to learn about how to make the /s/ and /z/ sounds, others attend more sessions in order to generalize their /s/ and /z/ into their everyday speech. The initial session will inform us whether the lisp is due to your anatomy and in some instances, we may need to signpost you to other services for further investigation. Sessions cost 90 per session and most people book 1-3 sessions.

Here we share a personal experience of one of our clients in her 50s; of the impact of the lisp and their experience of therapy:

“Speech and Language Therapy might be seen as a luxury but it really shouldn't be because it's a necessity for many people like me. Communication isn't just about uttering words, but a person's ability to make others hear them and understand them. When you struggle with a lisp problem, even though you know what to say, you don't always have the confidence to speak up. As a child, I never put my hand up in school even though I had the answers because I was afraid the other children would make fun of me, which they did whenever they could to hurt my feelings. I avoided arguing with my siblings because whenever I was right, they'd resort to mimicking my lisp as a way to shut me up. I was a very bright student but I purposely sabotaged myself at some point in High School because teachers wanted me to take the lead too often, and I couldn't face people with my lisp. When it came to choosing my career path, I chose a path where I thought that people wouldn't make fun of me because of the way I pronounce my sss and zzs.

Character and personality always play a central role in personal development. Some people may be fine with a lisp and some others not. If you're someone who is uncomfortable with your lisp, then I recommend that if you're able to afford the cost, you should really reach out to the Speech Network. Alison, my therapist, has given me more than just confidence. She has also given me mind comfort - a safe place where I could simply try and see if I could speak differently. For me, it's really that - a safe place for both my mind and body to feel free to give it a try. So I gave it a try, and now, I can speak and enjoy what I sound like, and most importantly, looking at myself in the mirror, I like the way my face looks when I'm talking and my tongue remains in my mouth when I pronounce S and Z. I'm bilingual so I have to work on both languages at the same time, and I'm truly enjoying the process.”

Click on the contact us button to email or book a free consultation. We are happy to email fees on request.

Speech Therapy for Parkinson's Disease : What is Lee Silverman Voice Treatment UK?

What is Lee Silverman Voice Treatment UK ?

LSVT loud ® stands for Lee Silverman Voice Technique. It is a evidence based Speech and Language Therapy technique that improves loudness for people with Parkinson’s disease. Studies have shown it can also be used in a variety of neurological conditions, such as Stroke, to improve Speech. Speech and Language Therapists are certified after a LSVT loud ® training course and an examination.

How can Parkinson’s Disease affect speech? 

Parkinson’s disease can cause people to talk quietly, have reduced variation in pitch and a hoarse voice. Their speech may sound monotone and lack emotion. People with Parkinson’s Disease are often not aware that they are talking quietly - we need to work with you to recaliberate your sensory feedback to raise your awareness of your loudness, improve voice projection and reduce effort in conversation. Difficulties with volume and clarity can impact on people’s confidence and mood. Our ultimate aim is to improve your volume, speech and confidence - your speech does not need hold you back.

How does Lee Silverman Voice Treatment UK work? 

Lee Silverman Voice Treatment ® (LSVT Loud) focuses on increasing loudness and increasing peoples awareness that they speak too quietly.  It is an intensive individual Speech and Language Therapy Technique.

Lee Silverman Voice Treatment requires an assessment session, and 16 therapy sessions, at 60 minutes each. You will also be given homework to practice outside of sessions.

Research has also shown improvements in swallowing difficulties in Parkinson’s Disease.

Can I do Lee Silverman Voice Treatment UK online? 

Studies show that Lee Silverman Voice Technique is as effective online as face-to-face Therapy.  It is often easier to have Intensive Speech Therapy in the comfort of your own home than in travelling to a clinic. We use zoom which is very user friendly and allows for recordings of your speech for great Biofeedback.

We also offer Speak Out Treatment - this is less sessions (thereby reducing cost) and is shown to be as effective as Lee Silverman Voice Treatment for Parkinson’s Disease.

Our UK based Private Voice Therapists are Clinical Specialists in Voice & Neurology with a minimum of 15 years experience Specialising in Voice & Neurology Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Lee Silverman Voice Treatment (LSVT loud ®) .

Why has my voice changed?

Why has my voice changed?

If your voice has suddenly changed, the most common reason for this is Laryngitis, which is a loss of voice, often alongside a cough and/or sore throat. It typically lasts 1-2 weeks. Drinking fluids and voice rest is recommended.

When should I worry about Voice changes?

If you have a hoarse voice that has lasted longer than 6 weeks, its advisable to request your doctor refer you to an Ear, Nose and Throat Consultant (ENT) for an examination of your Larynx (Voice box). A camera is put up your nose to examine your voice box. This procedure is not painful and is safe. ENT will confirm the reason for your voice changes.

What causes Voice changes?

There are many reasons that cause changes in voice. One of the reasons most people are worried about is laryngeal cancer. The earlier it is diagnosed, the easier it is to treat it, and for treatment to be successful.

There are many other reasons that you may experience voice changes. There are many other reasons that you may experience voice changes. These might be due to Muscle Tension Dysphonia (MTD) , Vocal cord Nodules or a Vocal fold palsy.

• Muscle Tension Dysphonia (MTD) : A voice disorder characterised by a hoarse voice due to excessive muscle tension in the Larynx. It produces voice symptoms without any physical damage.

• Vocal cord Nodules: Swollen areas on the vocal folds caused by using your voice incorrectly over a long period of time. Nodules are typically seen in children or women. People with jobs who use their voice excessively are often affected such as singers, actors and teachers.

• Vocal cord Paralysis: Typically, one vocal cord not moving as a result of an infection or damage to the nerve due to surgery results in a breathy, hoarse and weak voice.

• Spasmodic Dysphonia: A Neurological Disorder than affects the voice.

Following assessment by ENT, Voice Therapy is recommended for the treatment of Muscle Tension Dysphonia (MTD), Vocal cord Nodules, Vocal cord Paralysis and Spasmodic Dysphonia.

Why do I keep losing my voice?

Voice loss is ‘multi-factorial’. This means there is often not one reason. It is important that ENT diagnose the reason you are losing your voice. Voice Therapy will explore the reasons in greater depth that you lose your voice frequently. This may be due to the ways in which you use your voice ineffectively, tension within the larynx, reflux or not taking care of your voice in the best way. Voice Therapy the recommended treatment for voice disorders.

Why do I have a muscle tightness in my throat?

Voice disorders such as Muscle Tension Dysphonia (MTD) or Vocal Nodules can cause excessive tension in the larynx (the throat area) which results in a sensation of muscle tightness. Sometimes people complain about tension in their laryngeal area with no vocal symptoms or changes in voice.

People may describe an ache, constriction, or a lump in their throat. A sensation of a lump in the throat, where no lump exists, is known as ‘Globus’. You may experience a sensation that you want to clear your throat regularly. These unpleasant changes in sensation can make talking feel very effortful and tiring.

Voice Therapy can help reduce this discomfort minimising the effort you feel when speaking.

Why do I feel like I am straining my voice when I speak?

Voice Disorders can result in excessive tension in the laryngeal area. Often the voice is being used ineffectively, which causes additional strain on the larynx (voice box). You may not be projecting effectively resulting in poor amplification of sound. This is known as resonance. Resonance is how your voice is shaped by your voice box, nose and mouth. You may need to learn how to use your breath more effectively to reduce strain.

You may also need to improve your breath support for Speech so that you can use your voice effectively. Often people with Voice disorders use only the upper part of their chest to breathe. Breathing from the diaphragm provides effective breath for speech and reduces tension in the laryngeal area.

Voice Therapy can help reduce strain and discomfort when speaking, to free your voice and improve your confidence.

Can I have NHS voice Therapy?

Yes - we often see people when they are waiting for NHS voice therapy or there is no service in their area.

How can I look after my voice?

Vocal Hygiene is very important for looking after you voice.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

What is Muscle Tension Dysphonia?

What is Muscle Tension Dysphonia (MTD)?

Muscle Tension Dysphonia (MTD) is a change in the sound of your voice due to excessive muscle tension in and around the larynx (voice box). Muscle Tension Dysphonia produces vocal symptoms without any physical damage. Commonly, people will have had their Larynx examined by a Ear, Nose and Throat Specialist and have been told that there is no observable physical damage. 

Muscle tension dysphonia may be caused by longterm ineffective voice use, voice overuse, irritants (such as Laryngopharyngeal Reflux) , infection or emotional stress. While the initial cause may go away, the voice changes remain because of the ineffective habitual voice use.

How can my job cause Muscle Tension Dysphonia?

Jobs that require lots of talking and projection may result in voice overuse and voice abuse. Professions such as teachers,  actors and singers may lose their voices. This can have an impact financially and can feel stressful. Our UK Voice therapists will help you identify the causal factors and put together a bespoke plan to support you in improving your voice.

What are the symptoms of muscle tension dysphonia?

The most common symptoms of muscle tension dysphonia include:

• Voice that sounds hoarse or strained

• Voice becomes weaker and more effort the longer your voice is used.

• Difficulty singing notes that used to be easy.

• Pain or tension in your throat 

• Feeling like there is something in your throat that needs to be cleared. 

How is Muscle Tension Dysphonia (MTD) diagnosed in the UK?

Typically, if you are experiencing voice difficulties, your GP will refer you to an Ear, Nose and Throat Specialist (ENT) for an assessment of your voice. Muscle Tension Dysphonia is diagnosed through the evaluation of your larynx using a camera in your nose to view your vocal folds. 

What is the Treatment for Muscle Tension Dysphonia (MTD) in the UK?

The treatment for muscle tension dysphonia is voice therapy to reduce muscle tension and focus on effective voice use. You are likely to require 6-8 sessions of voice therapy to improve your voice. 

What does Voice Therapy in the UK involve for Muscle Tension Dysphonia (MTD)?

Voice therapy for Muscle Tension Dysphonia in the UK involves:

• Vocal hygiene advice

• Bespoke voice exercises 

• Exercises to reduce laryngeal tension

• Improving breath support for speech

• Reducing harmful behaviours

• Increase vocal stamina 

• Improving pitch and volume

• Improving voice amplification 

How long does it take for Muscle Tension Dysphonia (MTD) to go away?

Most people require 6-8 sessions that they typically book weekly. It is very important that you follow the advice and complete the exercises given by the Voice Therapist outside of sessions to assist in your recovery from Muscle Tension Dysphonia. 

Why do I have a hoarse voice and a feeling of a lump in my throat?

The tightness of the muscles in your throat due to Muscle Tension Dysphonia (MTD) causes people to feel that they have a lump in their throat, tightness or tension. The medical word for this feeling is ‘Globus’ and it is very common. It can be caused by main factors including anxiety, stress and reflux. It can be very effortful you to speak when they feel tension. Through Voice therapy we examine the factors that are causing you to have this sensation and aim to reduce the tension in this area.

Why do I have a hoarse voice, mucus in my throat and feel like I need to throat clear or cough?

As a result of tension people feel in their throat due to Muscle Tension Dysphonia (MTD) or Globus, people feel that they need to throat clear. Throat clearing often results in a habit of frequently throat clearing which produces more mucous. Throat Clearing is multi-factorial and we aim to reduce throat clearing through a thorough case history and voice therapy strategies.

Is a hoarse voice a symptom of anxiety or stress?

A hoarse voice as a result of Muscle Tension Dysphonia (MTD) may be linked with stress or anxiety. We all feel stress in different parts of our body and some people of vulnerable to holding tension within their laryngeal area. Our Voice Therapists have counselling skills that can support you to understand the emotional causes of your voice problem. If a voice problem is affecting your work, this can be an additional financial stress. Through voice therapy we can support you to improve your voice through vocal techniques to help you feel more relaxed.

Can I have Voice Therapy with the NHS in the UK?

The referral from GP to ENT can be a quick process. Unfortunatly, the wait for NHS voice therapy may take months, which could impact on your work. Our voice therapists are able to see you while you wait for NHS therapy. Voice coaching is not available in the NHS - our Voice Coaches are unique as they are also Clinical Voice Specialists.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy in the UK.

What is Inducible Laryngeal Obstruction (ILO) or Vocal Cord Dysfunction (VCD)

Whats is Inducible Laryngeal Obstruction?

Inducible laryngeal obstruction (ILO) or Vocal Fold Dysfunction (VCD) is the abnormal closure of the vocal folds during respiration, most commonly when breathing in, in response to a trigger. When the trigger is due to exercise, it is called Exercise Inducible Laryngeal Obstruction (EILO). It is often mistaken for Asthma or other illnesses related to respiratory conditions.

What are the symptoms of Inducible Laryngeal Obstruction (ILO/VCD)?

The symptoms tend to vary between people. You may present have sudden breathlessness that comes on quickly which may be due to a certain trigger. You may have a wheeze on your in-breath. You may experience throat symptoms of discomfort and voice changes. There may also be a chronic cough, a sensation of swallowing difficulties and a choking sensation.

What are the causes of Inducible laryngeal obstruction ?

There any many causes that have been identified such as post-nasal drip, reflux, irritants and temperature changes (ILO). When it is triggered by exercises this is called EILO.

Who treats Inducible Laryngeal Obstruction ?

Diagnosis is typically managed by a team. This team might include respiratory consultants, ENT, Physiotherapists, Speech and Language Therapists with a specialist interest in airways, Pulmonologists and Psychologists

How can a Private Online Speech Therapist help Induced Laryngeal Obstruction?

The gold standard treatment for ILO is Speech and Language Therapy. Clinical Specialist Speech Therapists play a crucial role in the management of Induced Laryngeal Obstruction. Speech Therapists can teach you how to identify your ‘triggers’ which may be environmental or situational. They can teach you how to control ILO and teach you rescue breathing strategies, throat and upper airway relaxation, throat care advice for a healthy larynx and behaviour change techniques.

Our Clinical Specialists Therapists are Clinical Specialists Induced laryngeal Obstruction with a Specialist Interest in Airway Disorders. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for ILO Private Speech Therapy.

How can reflux affect the Voice?

How does reflux affect the voice ?

Laryngo-pharyngeal reflux (LPR) is also known as ‘silent reflux’ because many people do not show any symptoms such as heartburn commonly associated with reflux.

What is laryngo-pharyngeal reflux (LPR)?

Stomach juices are made up of digestive acids. Some of these juices can travel up the oesophagus, spill into the throat, affecting the voice. This is called laryngo-pharyngeal reflux (LPR). This causes hoarseness. Additional symptoms are throat clearing, a sore dry throat, an unpleasant taste in the mouth, a feeling of phlegm in the throat, chronic cough or excessive burping. A lump in the throat sensation called ‘Globus’ is a common symptom.

How is laryngo-pharyngeal reflux (LPR) diagnosed?

An Ear, Nose and Throat doctor uses a small thin camera that is passed through your nose, to view your larynx or voice box. This is called an endoscopy. Our Voice therapist will ask you about your symptoms and often use a short questionnaire to identify your symptoms.

How is Laryngo-pharyngeal reflux (LPR) treated?

It can be treated by medications to treat stomach acid, through dietary changes working with our team of Voice Therapists, and occasionally surgery.

How can a Speech Therapist help with reflux?

Muscle Tension dysphonia (MTD) and laryngo-pharyngeal reflux (LPR) often co-occur. We see clients that may have not responded to medications, and alleviate symptoms often attributed to LPR. Voice therapy can boost the recovery period and is essential to reduce discomfort and overcome damaging behaviours

Our Private Voice Therapists are Clinical Specialists in Voice. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

Is Stuttering caused by Anxiety ?

Anxiety is a feeling of unease, such as a worry or fear that can be mild or severe. Everyone can feel anxious in situations such as giving presentations, an oral exam or going for an interview. These anxious feelings are normal. Anxiety is not always ‘bad’. It can make us feel uncomfortable but it is also a really important function - we should feel anxious when we have an exam coming up as anxiety motivates us to study. Anxiety motivates us to prepare and take action. It is sometimes confused with excitement. Anxiety becomes difficult when it stops allowing you to do the things you enjoy in life and affects you everyday.

In the past, stuttering was thought to be due to psychological factors such as anxiety. We now know the cause of stuttering is not due to anxiety. Rather, it is regarded as having a neurological cause - differences have been found in areas of the brain involved in talking for those who stutter compared with those who do not stutter. In addition, stuttering has a genetic or hereditary component and tends to run in families. 

Do I stutter because I am an anxious? Am I anxious because I stutter?

Research has shown us that pre-school children who stutter show no difference in shyness or anxiety compared with pre-school children who do not stutter. People who stutter are no different to people who do not stutter in terms of their personalities. However, research has shown that as a group people who stutter present with higher levels of anxiety and are more likely to present with social anxiety disorder compared with people who do not stutter. The age at which anxiety symptoms begin to appear is not yet clear, however some studies have suggested that higher anxiety is shown in stuttering children from the age of 7 years and increases over time.  

Indeed, it is not surprising that stuttering is associated with increased levels of anxiety. The experience of stuttering is often difficult and people who stutter describe having a variety of negative emotional reactions to their talking including feelings of embarrassment and shame. They can also experience negative reactions to their stuttering from others.  We know that children who stutter are more likely to be bullied and to be viewed negatively by their peers and adults describe stigma and discrimination both socially and in their place of work. The anxiety demonstrated by people who stutter is regarded as being the result of living with stuttering and is not the cause of stuttering.  You don’t stutter because you are an anxious person.

How does anxiety or nervousness impact stuttering? 

Although people vary, we know that when someone is feeling anxious or nervous, they tend to stutter more. You might be feeling anxious about stuttering in front of others or concerned about how your listener will react, or what they will think if they hear you stutter. When we feel anxious or nervous, it is usually because we are expecting the worst to happen. You might be saying things to yourself like “I won’t be able to say my name” or “They’ll think there’s something wrong with me” This may lead you to tense your muscles, may distract you from focusing on what you want to say as you try hard either to be fluent or to hide your stuttering.  This can all lead to more stuttering. You may feel like you have suddenly started stammering.  It is important to remember that while you may stutter more when you are feeling anxious or nervous, these feelings are not the cause of stuttering.  

How can Speech and Language Therapy help with Stuttering? 

We know that learning more about your stuttering and what influences it can reduce your anxiety about it.  Speech and Language Therapy can be effective in reducing the impact that stuttering is having on your day to day life.  You can develop your confidence to communicate, learn how to respond differently to your thoughts and feelings about stuttering and to learn strategies to make talking easier and more comfortable. 

Stuttering does not have to hold you back. 

We are Clinical Specialists in Stuttering and are very happy provide you with more information regarding our reasonably priced fees via email.